閱讀障礙者在心像旋轉作業上的表現

研究目的：心像旋轉作業被視為是一項考驗視－空間能力之最佳作業，且已有研究指出西文閱讀障礙者在心像旋轉作業上表現差。雖然中西文有不少差異，但就閱讀歷程中所需動用的視－空間能力而言，中西文可能沒有差異，例如：閱讀時都必須在字裡行間不斷左右、上下來回搜尋。因此，本文假設中文閱讀障礙者仍然會在心像旋轉作業上表現差。研究方法：本文採用心像旋轉作業，要求參與者判斷旋轉過後的字母「R」是正像或鏡像。共有18名閱讀障礙者及24名一般兒童參與者，年齡分佈為8-12歲。研究結果：在排除智力的影響之後，發現閱讀障礙者的正確率顯著低於一般兒童，然而反應時間則沒有顯著差異。研究結論：本研究發現中文閱讀障礙者的視－空間能力也可能受損，且這樣的結果與閱讀障礙者之頂葉皮質可能受損的假設相一致。也就是，閱讀障礙者可能頂葉皮質受損，以致當進行閱讀活動時，無法有效控制眼球及注意力以便在文章段落間尋找所需訊息，使得他們在閱讀理解時發生困難。

關鍵字

視－空間；閱讀障礙；心像旋轉；頂葉

並列摘要

Purpose: According to 1970s' dyslexic literature, there are at least two subgroups of dyslexia, auditory-linguistic and visuo-spatial. The former has difficulties with speech articulation, poor sound blending, naming and labeling. The later has predominant visuospatial problems, such as visual discrimination, and visual memory (Ingram, Mason, & Blackburn, 1970; Mattis, French, & Rappin, 1975; Pirozzolo, 1979). This concludes that not only the phonological deficits, but also the visuo-spatial deficits are the cause of many children's reading failures. On the other hand, the best way of examining visuospatial cognition is to study the subject's performance in a mental rotation task. In these experiments in mental imagery, the subjects were presented with two-dimensional drawings that depicted in very different orientations, and with variable angular disparities. The subjects had to determine whether the two-dimensional drawings depicted the same or different object. Shepard and colleagues, as well as other researchers, have produced results indicating that mental manipulation of images involves a sequence of mental transformation similar to those that would be carried out in manipulating real object (Shepard and Metzler, 1971). The position emission tomography (PET) experiments have confirmed the role of the parietal cortex during mental rotation (Harris et al., 2000). While rotation is taking place, its accuracy and speed may critically depend on eye movement, as well as attention control. The saccade and attention control are clearly controlled by the parietal cortex (Stein, 1992). And neuropsychological examinations have led to the conclusion that injury to and/or dysfunction of the inferior parietal region often produces either acquired or developmental dyslexia (e.g., Paulesu et al., 1996). If the dysfunction and/or damage to the inferior parietal cortex are manifested in developmental dyslexia, it is possible that the dyslexic children's mental rotation would be deficient owing to their possible parietal cortical dysfunction. Recent research results have indicated impaired mental rotation ability in dyslexic children (Karádi, Kovács, Szepesi, Szabó, & Kállai, 2001). Though there are many differences between Chinese and Western characters, the application of visuo-spatial ability may be the same through reading. For example, readers have to search for clues among words and sentences back and forth. In the experiments reported here, we examined the performance of dyslexic children in a letter mental rotation task in order to study their allocentric spatial cognition. We hypothesized that Chinese dyslexic students would have worse performance on the mental rotation task. Methods: This study designed the mental rotation tasks based on Shepard and Metzler's paradigm in 1971. All stimuli were presented on screen. Subjects had to judge as soon as possible if the rotated stimuli were positive or mirrored ”R”. The rotation angle ranged from 0 to 360 degree, with an average 15 degree change. Total subjects were 18 dyslexic and 24 normal students, aged from 8 to 12 years old. Results: Excluding the intelligence influence, the results showed that the accuracy of dyslexic students is lower than the normal, but there's not significantly different between the reaction time. Conclusions: While reading, readers have to make effective controls of eyeballs in order to find out sufficient information or clues. The parietal cortex is responsible for the saccade and attention control (Stein, 1992). For this reason, this study concludes Chinese dyslexic students have the visuo-spatial defect so that they have difficulties in reading comprehension, and it's consistent with the hypothesis of the parietal cortex dysfunction of dyslexic student. As our experiment proves a disturbance in mental rotation in the case of dyslexics, there is, therefore, indirect evidence of a dysfunction of the parietal cortex during the performance of the mental rotation task. This paper increases additional evidence in the research because a few experiments had confirmed the parietal dysfunction behaviourally. Leonard et al. (1993) used magnetic resonance imaging (MRI) to demonstrate various structural anomalies in dyslexic children's brains. The anomalies consist of parietal shift in the right hemisphere, atypical Sylvian fissure and multiple Heschl's gyri. The right parietal shift represented deviation in ratio between the size of the right temporal gyrus and the size of the parietal lobe in the planum temporale. The right hemisphere had a significant shift of planar tissue from the temporal to the parietal bank in the planum temporale. On the basis of these morphological observations Leonard et al. (1993) put forward the hypothesis that dyslexic patients may show exceptional allocentric visuo-spatial ability owing to the right parietal shift. This hypothesis is, apparently, surported by our observations that, among the dyslexics, the proportion of children with difficulties in an allocentric mental rotation task is higher than among normally reading children. Results in much recent research oriented towards dyslexia show that the core deficit of developmental dyslexia is the phonological disability of the conscious process of word identification (Shaywitz, 1998). However, it seems correct to regard dyslexia as a form of learning disability which is also accompanied by other non-linguistic (vestibular-spatial dysfunction) deficits.